Claims Manager

Aya Healthcare Inc.

1d • $100,000 - $125,000

About The Position

The Claims Manager will analyze and manage professional liability/medical malpractice claims, under the direction and supervision of Senior Corporate Counsel. Aya Healthcare is an $8+ billion, rapidly growing workforce solutions provider in the healthcare industry. We deliver tech-enabled services that help healthcare organizations meet and manage their contingent labor needs. We build and manage tech-enabled marketplaces for national and local healthcare talent and deliver contingent labor management solutions through our proprietary software platform. At Aya, we’re obsessed with creating exceptional experiences for our clients, clinicians, and employees. We foster an entrepreneurial, high-energy, low-bureaucracy culture and value innovative thinking and creative problem solving. We embrace diversity in thought and backgrounds unified by a commitment to high achievement. When you join Aya, you’ll be surrounded by teammates who care about you as an individual and leaders who will help you grow both personally and professionally.

Requirements

• 3+ years prior experience in Professional Liability claims adjusting
• Ability to work in fast-paced environment with large volume of matters
• Strong knowledge of claim handling policies and procedures
• Knowledge of medical terminology
• Familiarity with claims in multiple jurisdictions
• Experience working with a TPA
• Experienced in litigation and settlement negotiations
• Intermediate knowledge of PL products and ability to apply available resources and technology to resolve claims and streamline the claim process

Nice To Haves

• JD preferred

Responsibilities

• Manage active and litigated Professional Liability claims – track, review, analyze, and update Corporate Counsel on all open matters.
• Assist with claim investigations, monitor compensability determinations and review with outside counsel when necessary.
• Evaluate claim action plans and overall file quality to help achieve optimal claim outcomes.
• Work regularly with outside counsel and insurance representatives to obtain up to date claim information and to analyze and approve investigation and reserve requests.
• Ensure compliance with state regulatory rules and requirements.
• Collaborate with specialty resources (medical and legal) to proactively pursue claim resolutions, and analyze settlement authority requests.
• Attend mediations and trials.
• Regularly meet with Corporate Counsel to review claims and discuss claim strategy.

Benefits

• Free premium medical, dental, life and vision insurance
• Generous 401(k) match
• Reimbursements and discretionary bonuses
• Paid sick leave in accordance with all applicable state, federal, and local laws
• Company-sponsored virtual events, happy hours and team-building activities
• Birthday treat
• Unlimited DTO
• Virtual yoga, meditation or boot camp classes offered daily

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed